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Dane County Water Resource Engineering Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Date of Contact: 12/9/2016 <br /> Caller/Contact: Dan Duren- General Contractor Phone #: O8) 837-47Q <br /> Landowner: Nathan Brazy Phone#: <br /> Contact Email: dsduren@charter.net <br /> Project Address: Range Trail, Verona <br /> Location(Municipality): Tn. Verona Section:26 <br /> Parcel#: 0608-263-9160-0 <br /> Project Description: New SFR with driveway <100' long to concrete apron, total disturbance < 1 Acre <br /> Planned Size of Disturbance: 10 000 +/- 112 Planned Size of New Impervious: 9,100 +1- <br /> Water Resource Engineering Division Response: <br /> Based On Information Above the Project: DOES* ZDOES NOT Require a Permit <br /> Determination Made by: DAN .1DB ITTJA.S DAN FlIRT DAJM F 1-1" <br /> Type of Permit Required: DErosion Control [ Shoreland Erosion Control EStormwater Management <br /> Ei Disturbance > 4000 ft2 Excavate/Fill>400 yds3 Disturbing 100 of ditch/channel <br /> 0 125' Long new access road/driveway E Subdivision Plat /CSM —1 20.000 ft= New Impervious areas <br /> Shoreland Zone Disturbance Other: <br /> Basis for Determination: Project is not proposing land disturbance over an acrelnot in <br /> Shoreland Zone:, driveway <125' long; no other EC triggers <br /> Permit determination is based upon the information provided by cal ler/landowner on the date of contact. <br /> Changes in project size, scope or location may trigger changes to permit requirements. <br /> It is the responsibility of the owner to ensure all required permits have been obtained prior to commencing work. <br />